Multinodular goiter is a common thyroid disorder more common in females. Large goiters weighing more than 500 grams pose a serious problem to the surgeon in terms of tracheal compression, tracheomalacia leading to post operative respiratory obstruction, retrosternal extension, compression of surrounding structures and skin fixation. Authors present their experience with a case of huge goiter weighing more than 500 grams who had tracheomalacia which was identified on the operation table and managed successfully by tracheostomy.